1. Adult Social Care and Health Select Committee Cancer in Nottingham Julie O’Boyle Specialty Registrar Public Health NHS Nottingham City Dr Chris Packham Director of Public Health NHS Nottingham City

2. Cancer in Nottingham 1100 people diagnosed with cancer in Nottingham each year 640 people die of cancer in Nottingham each year Cancer is a significant contributor to health inequalities in our city

3. Cancer Mortality

6. Major Risk Factors for Cancer Smoking is the single largest preventable risk factor for cancer, responsible for 30% of all cancers. Excessive alcohol is responsible for 6% of all cancers, particularly Mouth, Gullet, Breast and Liver Obesity is responsible for 3% of all cancer deaths (10% of breast cancer, 25% kidney, 35% oesophagus and 40% of womb cancer deaths)

7. Smoking Prevalence in Nottingham and England

8. Tackling Cancer Prevention Early Diagnosis Better Treatment Living with and Beyond Cancer

9. Cancer Prevention Smoking Alcohol Obesity & Diet Vaccination Raising Awareness

10. Early Diagnosis Raising Awareness of signs and symptoms to encourage early presentation Screening –Targeting vulnerable and marginalised groups –Extending bowel cancer and breast cancer screening

11. Ensuring Better Treatment Monitoring waiting times from referral to treatment Ensuring all providers of cancer care are working to agreed guidelines and best practice Additional Radiotherapy services

12. Living with and beyond Cancer Patient, carer and public input to service development Access to high quality end of life care when required

13. Priorities Reducing Prevalence of smoking –Current Prevalence 39% –20% target by 2020 (sustainable community strategy target) Full implementation of alcohol harm reduction strategy